Centerburg Youth Wrestling Registration

Athlete Information

Parent/Guardian Information

2nd Parent/Guardian Information

Emergency Information

Informed Consent and Acknowledgement

IN CONSIDERATION: of being permitted to participate in any way in any event ("Activity") at any time during the current wrestling season, I, for myself, my personal representatives, assigns, heirs, and next of kin hereby agree to release, discharge, indemnify and hold harmless the Centerburg Youth Wrestling, all Board members, administrators, coaches, assistant coaches, trainers, assistant trainers, directors, employees, students, volunteers and representatives of the Board of Education of the Centerburg Local Schools and any other persons having anything to do with the Centerburg Youth Wrestling Program and any such activities, from any and all rights, claims, and/or causes of action I may have or may arise, in my own right, or on behalf of said child, as a result of said child’s going to and from such activities or participation in aforementioned activities, or any training, practicing or related functions in conjunction with such activities including but not limited to, any physical or mental injury which may occur to said child as a result of his/her participation in any such activities.

 

RISKS: I agree and understand that there are significant risks (some known and others unknown or unforeseeable) or death associated with participation in a wrestling program. These risks include the possibility of very serious injuries which can occur for a variety of reasons and under a variety of circumstances related to the wrestling program. Such risks include, but are not limited to, the risks of injury; disability; paralysis or even death resulting from causes including, without limitation, the physical condition and health (known or unknown) of the student; court/mat conditions; actions of players on opposing teams; weather; improper techniques in executing the skills needed to participate in the sport of wrestling; actions of teammates or spectators; hazards inherent in a sport involving extensive and sometimes violent physical contact; improper or malfunctioning equipment; improper or inadequate training or coaching; negligence of employees, volunteers or others of the Releasees identified below; and transportation to and from practices, games, camps or other program activities.

 

INSURANCE: All students choosing to participate in Centerburg Youth Wrestling are advised that no additional insurance will be provided or carried on their behalf, and furthermore each student will be advised to be covered by their own personal or family medical/accident insurance.

 

CONSENT

In the event reasonable attempts to contact me have been unsuccessful, I hereby give my consent for the administration of any treatment deemed necessary by a licensed physician or dentist; and the transfer of the child to any hospital reasonably accessible.  This authorization does not cover major surgery unless the medical opinions of two other licensed physicians or dentists concurring in the necessity for such surgery are obtained prior to performance of such surgery.  In addition to the aforementioned information, I give my permission for any and all medical information to be shared with all wrestling personnel that interact with my child.

CENTERBURG YOUTH WRESTLING CODE OF CONDUCT

Achieving a high level of sportsmanship in our sport starts with you!  Participating in the sport of wrestling is a privilege, not a right.  As with all privileges, there comes the responsibility to maintain that privilege.  One of your responsibilities as a representative of our community and our sport is to conduct yourself in a way that reflects positively on yourself, your coaches, your teammates, your family and wrestling in general.

 

The Centerburg Wrestling program is a community based volunteer run organization.  It is important that all wrestlers, parents and coaches adhere to the following:

 

1.    I will show good sportsmanship at all times!  Swearing, throwing gear, kicking, hitting, talking back will not be tolerated.

2.    I will respect and not criticize my teammates and coaches.

3.    I will control my temper.

4.    I will respect the opposing team and shake hands at the conclusion of each dual/match.

5.     I will not taunt or yell at opposing players or teams.

6.     I will respect referees and not openly criticize them.  I will remember that they are in control of the match/dual and that they are human and will make mistakes.  The referees will have the last word, even if it results in me being asked to leave the event. 

7.      I will show respect to all equipment, supplies and facilities (home and away).

8.       I will not make any altercations to club-issued apparel or equipment that must be returned and I understand that I will be held financially responsible for any damages to club issued items.

9.       I will strive to have fun and help ensure that my teammates have a fun wrestling experience as well.

10.     I will play hard and fair at all times.

11.     I will do my very best to be on time and attend practice on a regular basis.

 

I have read and understand the Centerburg Youth Wrestling code of conduct.  I understand that any violation of this code may result in disciplinary action being taken against me up to and including suspended / removal from the team/club/event.  Concerns in any of these areas should be brought to one of the Program Coaches or Director.  The Coaches and/or director reserve the right to deal with situations on an individual basis and handle accordingly. 

CYW Covid-19 and Illness Policy

 

Centerburg Local Schools, the Knox County Health Department, The OHSAA, The Ohio Heath Department and the Office of the Governor........ are constantly changing rules and policies regarding Covid-19.

At this time there is NO Mask Mandate or Restrictions.  Even though CYW is not a school sanctioned sport, we will follow the rules of Centerburg Schools as if we were a school team.

 

 If your wrestler is experiencing any symptoms of an illness please notify the coaches and do not bring them to practice. Please error on the side of caution. Exposing teammates to any virus or bacteria can have severe ramifications to team members. 

This includes:

· Fever or chills · Cough · Shortness of breath or difficulty breathing · Fatigue · Muscle or body aches · Headache · New loss of taste or smell · Sore throat · Congestion or runny nose · Nausea or vomiting · Diarrhea · Impetigo · Ring Worm · or any other communicable disease  

Please help keep wrestlers and our community healthy.  A positive Covid-19 test would result in following the Policy of Centerburg Schools and those of the Athletic Department.

Additional information will be emailed to parents once your registration has been processed.  Please verify that the email address you have provided is correct.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.